Wellpoint Family Medical,pc

Wellpoint Family Medical,pc was paid $154K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider infoWELLPOINT FAMILY MEDICAL,PC
REGO PARK, NY 11374

33aNPI1790803252assigned 03/26/2007

33bProvider typeFamily Medicine Physician

28Total paid$154K

24GClaims2,646

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#470 of 2,605

Median peer was paid$10K

This provider vs. median15×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	333	$17K
2019	427	$21K
2020	181	$12K
2021	273	$24K
2022	300	$21K
2023	582	$31K
2024incomplete	550	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	74%	1,249	1,045	$113K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	516	417	$32K
93000		1.5%	208	199	$2K
99490	Ccm add 20min	1.1%	75	74	$2K
99401		1.0%	67	38	$2K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	96	77	$999.74
G0444	Annual depression screening, 5 to 15 minutes	<1%	47	47	$750.36
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	29	27	$705.96
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	39	39	$542.84
36415	Collection of venous blood by venipuncture	<1%	305	264	$95.16
94760		<1%	15	13	$2.53

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialZILBERMAN, NINA (PRESIDENT)